Job Application Personal InformationEmployment DesiredEducationJob HistoryReferences First NameMiddle NameLast NameSocial Security NumberEmailPhone/MobileYour Current Home AddressAddress Line 1Address Line 2CityStateZip CodeHousing Status Own Home Rent BoardMarital Status Single Married Widowed Divorced SeperatedNumber of ChildrenAre you a United States Citizen? Yes NoIf related to anyone in our employment, please state whoEmergency ContactFirst NameLast NameEmergency Contact Phone NumberReferred ByDue to OSHA regulations, many positions require you to be at least 18 years old.Are you at least 18 years of age or older? Yes NoPreviousNextDesired PositionDesired Starting DateDesired SalaryAre you currently employed? Yes NoCurrent EmployerMay we contact your current employer? Yes NoAre you applying for the Pipe-Crew? Yes NoPipe Crew QuizWhat type and color pipe would be used on a 12" force main? Blue DR-25 Green DR-25 Purple DR-18 Green DR-18What is a normal fire hydrant stub? 4" 6" 8" 10"What is the normal slope on an 8" gravity sewer main? 30% 40% 50% 60%What type and color pipe would be used on a 10" re-use main? Purple DR-18 Blue DR-25 Green DR-18 Purple D-25How long is a stick of water main pipe? 10' 14' 20' 22'How many 45 fittings are on a B-crossing? 1 2 3 4How long is a stick of gravity sewer pipe? 10' 14' 20' 22'New manholes are made from what? Precast concrete Polyurethane Plastic Metal BricksA sewer water collection system is called a what? Junction manhole Lift station Type C inlet Curb inletWhat is the minimum cover required on top of a water main? 24" 36" 48" 60"What is the minimum vertical separation required between a force main and a water main? 12" 36" 48" 60"PreviousNextEducation - Select all that apply Grammar School High School College Trade / Business SchoolGrammar School - NameGrammar School - Years AttendedHigh School - NameHigh School - Years AttendedCollege - NameCollege - Years AttendedCollege - Subject StudiedTrade / Business School - NameTrade / Business School - Years AttendedTrade / Business School - Subject StudiedSubjects of Special Study or ResearchDo you fluently speak/read/write any foreign languages? Yes NoWhat foreign languages do you speak/read/write?US Military or Civil Service? Yes NoDescribe your Military or Civil ServicePresently in the National Guard or Reserves? Yes NoPreviousNextJob #1Name of EmployerEmployment Start Date:Employment End Date:Employer Phone NumberSalaryReason for LeavingJob #2Name of EmployerEmployment Start Date:Employment End Date:Employer Phone NumberSalaryReason for LeavingJob #3Name of EmployerEmployment Start Date:Employment End Date:Employer Phone NumberSalaryReason for LeavingFor Operators List Equipment You Can Operate & Length of Experience Equipment Type Length of Experience PreviousNextReference 1 NamePhone/MobileYears AcquaintedReference 2 NamePhone/MobileYears AcquaintedReference 3 NamePhone/MobileYears AcquaintedReference 4 NamePhone/MobileYears Acquainted Previous Submit Form